p244 Flashcards
A 4-month-old male is brought to your office for evaluation of “bloodshot eyes” of 2 days’
duration. He is otherwise well
Examination confirms bilateral
subconjunctival hemorrhages
Dx
Nonaccidental trauma
How would you approach the administration of the MMR vaccine in a child with an egg allergy?
Give the child the MMR vaccine under medical supervision
measles-mumps-rubella vaccine (MMR)
Nowadays there is no need of a skin test anymore before the administration of MRR v.
acute inflammation of the upper and lower respiratory
tracts, common in children, is called ______________.
and it´s caused most commonly by __________________.
Croup (Laryngotracheobronchitis)
parainfluenza virus type 1 infection.
Croup (Laryngotracheobronchitis) Cxfx
barking cough and inspiratory stridor.
Croup (Laryngotracheobronchitis) Tx
antipyretics, hydration, nebulized racemic epinephrine, and corticosteroids IM or PO (-> in most cases).
Do not nebulize with albuterol ni nada de esa bushtit! solo racemic epinephrine o budesonide! for severe cases
In what cases of laryngotracheobronchitis and LTBP would you use antibiotics?
Antibiotics are indicated in LTB and LTBP, which can be diagnosed on the basis of crackles
and wheezing on examination, or by an abnormal chest radiograph. Laryngotracheitis can
sometimes be associated with a bacterial infection, but should be suspected only after a
patient does not improve with corticosteroids and epinephrine.
T/F
Prolonged courses of corticosteroids provide additional benefit for the treatment of croup
Prolonged courses of corticosteroids provide no additional benefit and may lead to
secondary bacterial or fungal infections.
A very obese 12-year-old boy is brought in because he has developed a limp when he walks.
He also complains of some hip pain. What is the most likely diagnosis?
Slipped capital femoral epiphysis
SCFE
